98TH GENERAL ASSEMBLY
State of Illinois
2013 and 2014
HB2339

 

Introduced , by Rep. William Davis

 

SYNOPSIS AS INTRODUCED:
 
755 ILCS 50/1-5
755 ILCS 50/1-10  was 755 ILCS 50/2
755 ILCS 50/5-5  was 755 ILCS 50/3
755 ILCS 50/5-7 new
755 ILCS 50/5-12 new
755 ILCS 50/5-15  was 755 ILCS 50/4.5
755 ILCS 50/5-20  was 755 ILCS 50/5
755 ILCS 50/5-25
755 ILCS 50/5-27  was 755 ILCS 60/3.5
755 ILCS 50/5-35  was 755 ILCS 50/6
755 ILCS 50/5-42 new
755 ILCS 50/5-43 new
755 ILCS 50/5-45  was 755 ILCS 50/8
755 ILCS 50/5-47 new
755 ILCS 50/5-50  was 755 ILCS 50/8.1
755 ILCS 50/5-55 new
755 ILCS 50/5-10 rep.
755 ILCS 50/5-30 rep.
755 ILCS 50/5-40 rep.

    Amends the Illinois Anatomical Gift Act. In the purpose Section, adds that a purpose of the Act is to establish consistency between the Act and the core provisions of the Revised Uniform Anatomical Gift Act of 2006. Makes other changes throughout the Act in Sections concerning: definitions; persons who may execute an anatomical gift; the preclusive effect of an anatomical gift, amendment, or revocation; donor and donee eligibility; execution of anatomical gifts; notification; consent; family rights and options after circulatory death; refusal to make anatomical gifts; rights and duties at death; rights and duties of procurement organizations; payment for anatomical gift; choice of law as to the execution of document of anatomical gift; and presumption of validity. Repeals, relocates, and re-writes the provisions of Sections concerning: (i) persons who may become donees and purposes for which anatomical gifts may be made; and (ii) amending and revoking anatomical gifts before a donor's death. Repeals a Section concerning corneal transplants.


LRB098 08840 HEP 38968 b

 

 

A BILL FOR

 

HB2339LRB098 08840 HEP 38968 b

1    AN ACT concerning civil law.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Illinois Anatomical Gift Act is amended by
5changing Sections 1-5, 1-10, 5-5, 5-15, 5-20, 5-25, 5-27, 5-35,
65-45, and 5-50 and by adding Sections 5-7, 5-12, 5-42, 5-43,
75-47, and 5-55 as follows:
 
8    (755 ILCS 50/1-5)
9    Sec. 1-5. Purpose. Illinois recognizes that there is a
10critical shortage of human organs and tissues available to
11citizens in need of organ and tissue transplants. This shortage
12leads to the untimely death of many adults and children in
13Illinois and across the nation each year. This Act is intended
14to implement the public policy of encouraging timely donation
15of human organs and tissue in Illinois and facilitating
16transplants of those organs and tissue into patients in need of
17them. Through this Act, laws relating to organ and tissue
18donation and transplantation are consolidated and modified for
19the purpose of furthering this public policy, and for the
20purpose of establishing consistency between this Act and the
21core provisions of the Revised Uniform Anatomical Gift Act of
222006.
23(Source: P.A. 93-794, eff. 7-22-04.)
 

 

 

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1    (755 ILCS 50/1-10)  (was 755 ILCS 50/2)
2    Sec. 1-10. Definitions.
3    "Bank or storage facility" means a facility licensed,
4accredited or approved under the laws of any state for storage
5of human bodies or parts thereof.
6    "Close friend" means any person 18 years of age or older
7who has exhibited special care and concern for the decedent and
8who presents an affidavit to the decedent's attending
9physician, or the hospital administrator or his or her
10designated representative, stating that he or she (i) was a
11close friend of the decedent, (ii) is willing and able to
12consent to the donation, and (iii) maintained such regular
13contact with the decedent as to be familiar with the decedent's
14health and social history, and religious and moral beliefs. The
15affidavit must also state facts and circumstances that
16demonstrate that familiarity.
17    "Death" means, for the purposes of the Act, either: (1) the
18irreversible cessation of total brain function, according to
19usual and customary standards of medical practice; or (2)
20irreversible cessation of circulatory and respiratory
21functions, according to usual and customary standards of
22medical practice.
23    "Decedent" means a deceased individual and includes a
24stillborn infant or fetus.
25    "Donor" means an individual whose body or part is the

 

 

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1subject of an anatomical gift. who makes a gift of all or parts
2of his body.
3    "Federally designated organ procurement agency" means the
4organ procurement agency designated by the Secretary of the
5U.S. Department of Health and Human Services for the service
6area in which a hospital is located, or the organ procurement
7agency for which the U.S. Secretary of Health and Human
8Services has granted the hospital a waiver pursuant to 42
9U.S.C. 1320b-8(a).
10    "Hospital" means a hospital licensed, accredited or
11approved under the laws of any state; and includes a hospital
12operated by the United States government, a state, or a
13subdivision thereof, although not required to be licensed under
14state laws.
15    "Non-transplant anatomic bank" means any facility or
16program operating or providing services in this State that is
17accredited by the American Association of Tissue Banks or the
18Eye Bank Association of America, that is involved in procuring,
19furnishing, or distributing whole bodies or parts for the
20purpose of medical education. For purposes of this Section, a
21non-transplant anatomic bank operating under the auspices of a
22hospital, accredited medical school, dental school, college or
23university, or federally designated organ procurement
24organization is not required to be accredited by the American
25Association of Tissue Banks or the Eye Bank Association of
26America.

 

 

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1    "Not available" for the giving of consent or refusal means:
2    (1) the existence of the person is unknown to the hospital
3administrator or designee, organ procurement agency, or tissue
4bank and is not readily ascertainable through the examination
5of the decedent's hospital records and the questioning of any
6persons who are available for giving consent;
7    (2) the administrator or designee, organ procurement
8agency, or tissue bank has unsuccessfully attempted to contact
9the person by telephone or in any other reasonable manner; or
10    (3) the person is unable or unwilling to respond in a
11manner that indicates the person's refusal or consent.
12    "Organ" means a human kidney, liver, heart, lung, pancreas,
13small bowel, or other transplantable vascular body part as
14determined by the Organ Procurement and Transplantation
15Network, as periodically selected by the U.S. Department of
16Health and Human Services.
17    "Organ procurement organization" means the organ
18procurement organization designated by the Secretary of the
19U.S. Department of Health and Human Services for the service
20area in which a hospital is located, or the organ procurement
21organization for which the Secretary of the U.S. Department of
22Health and Human Services has granted the hospital a waiver
23pursuant to 42 U.S.C. 1320b-8(a).
24    "Procurement organization" means an organ procurement
25organization or a tissue bank.
26    "Reasonably available for the giving of consent or refusal"

 

 

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1means a person who is able to be contacted by a procurement
2organization without undue effort and who is willing and able
3to act in a timely manner consistent with existing medical
4criteria necessary for the making of an anatomical gift. A
5person is not reasonably available for the giving of consent or
6refusal if:
7        (1) the existence of the person is unknown to the
8    hospital administrator or designee, organ procurement
9    agency, or tissue bank and is not readily ascertainable
10    through the examination of the decedent's hospital records
11    and the questioning of any persons who are available for
12    giving consent;
13        (2) the hospital administrator or designee, organ
14    procurement agency, or tissue bank has unsuccessfully
15    attempted to contact the person by telephone or in any
16    other reasonable manner; or
17        (3) the person is unable or unwilling to respond in a
18    manner that indicates the person's refusal or consent.
19    "Tissue" means eyes, bones, heart valves, veins, skin, and
20any other portions of a human body excluding blood, blood
21products or organs.
22    "Part" means organs, tissues, eyes, bones, arteries,
23blood, other fluids and any other portions of a human body.
24    "Person" means an individual, corporation, government or
25governmental subdivision or agency, business trust, estate,
26trust, partnership or association or any other legal entity.

 

 

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1    "Physician" or "surgeon" means a physician or surgeon
2licensed or authorized to practice medicine in all of its
3branches under the laws of any state.
4    "State" includes any state, district, commonwealth,
5territory, insular possession, and any other area subject to
6the legislative authority of the United States of America.
7    "Technician" means an individual trained and certified to
8remove tissue, by a recognized medical training institution in
9the State of Illinois.
10    "Tissue bank" means any facility or program operating in
11Illinois that is accredited certified by the American
12Association of Tissue Banks, the Eye Bank Association of
13America, or the Association of Organ Procurement Organizations
14and is involved in procuring, furnishing, donating, or
15distributing corneas, bones, or other human tissue for the
16purpose of injecting, transfusing, or transplanting any of them
17into the human body, or for research or education. "Tissue
18bank" does not include a licensed blood bank. For the purposes
19of this Act, "tissue" does not include organs or blood or blood
20products.
21(Source: P.A. 93-794, eff. 7-22-04.)
 
22    (755 ILCS 50/5-5)  (was 755 ILCS 50/3)
23    Sec. 5-5. Persons who may execute an anatomical gift.
24    (a) An anatomical gift of a donor's body or part may be
25made during the life of the donor for the purpose of

 

 

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1transplantation, therapy, research, or education by:
2        (1) the donor, if the donor is an adult or if the donor
3    is an emancipated minor;
4        (2) an agent of the donor, unless the power of attorney
5    for health care or other record prohibits the agent from
6    making an anatomical gift;
7        (3) a parent of the donor, if the donor is an
8    unemancipated minor; or
9        (4) the donor's guardian.
10    Any individual of sound mind who has attained the age of 18
11may give all or any part of his or her body for any purpose
12specified in Section 5-10. Such a gift may be executed in any
13of the ways set out in Section 5-20, and shall take effect upon
14the individual's death without the need to obtain the consent
15of any survivor. An anatomical gift made by an agent of an
16individual, as authorized by the individual under the Powers of
17Attorney for Health Care Law, as now or hereafter amended, is
18deemed to be a gift by that individual and takes effect without
19the need to obtain the consent of any other person.
20    (b) If no gift has been executed under subsection (a), an
21anatomical gift of a decedent's body or part for the purpose of
22transplantation, therapy, research, or education may be made at
23the time of the decedent's death, or when death is imminent, by
24a member of the following classes of persons who is reasonably
25available for the giving of consent or refusal, in the order of
26priority listed any of the following persons, in the order of

 

 

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1priority stated in items (1) through (11) below, when persons
2in prior classes are not available for the giving of consent or
3refusal and in the absence of (i) actual notice of contrary
4intentions by the decedent and (ii) actual notice of opposition
5by any member within the same priority class, may consent to
6give all or any part of the decedent's body after or
7immediately before death to a person who may become a donee for
8any purpose specified in Section 5-10:
9        (1) an agent of the decedent at the time of death who
10    could have made an anatomical gift under subsection (a) of
11    this Section immediately before the decedent's death;
12        (2) the spouse or civil union partner of the decedent;
13        (3) adult children of the decedent;
14        (4) parents of the decedent;
15        (5) adult siblings of the decedent;
16        (6) adult grandchildren of the decedent;
17        (7) grandparents of the decedent;
18        (8) an adult who exhibited special care and concern for
19    the decedent;
20        (9) a person who was acting as the guardian of the
21    person of the decedent at the time of death; and
22        (10) any other person having the authority to dispose
23    of the decedent's body.
24        (1) an individual acting as the decedent's agent under
25    a power of attorney for health care,
26        (2) the decedent's surrogate decision maker identified

 

 

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1    by the attending physician in accordance with the Health
2    Care Surrogate Act,
3        (3) the guardian of the decedent's person at the time
4    of death,
5        (4) the decedent's spouse,
6        (5) any of the decedent's adult sons or daughters,
7        (6) either of the decedent's parents,
8        (7) any of the decedent's adult brothers or sisters,
9        (8) any adult grandchild of the decedent,
10        (9) a close friend of the decedent,
11        (10) the guardian of the decedent's estate,
12        (11) any other person authorized or under legal
13    obligation to dispose of the body.
14    If the donee has actual notice of opposition to the gift by
15the decedent or any person in the highest priority class in
16which an available person can be found, then no gift of all or
17any part of the decedent's body shall be accepted.
18    (b-5) If there is more than one member of a class listed in
19items (1), (3), (4), (5), (6), (7), or (9) of subsection (b) of
20this Section entitled to make an anatomical gift, an anatomical
21gift may be made by a member of the class unless that member or
22a person to which the gift may pass under Section 5-12 of this
23Act knows of an objection by another member of the class. If an
24objection is known, the gift may be made only by a majority of
25the members of the class who are reasonably available for the
26giving of consent or refusal.

 

 

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1    (b-10) A person may not make an anatomical gift if, at the
2time of the decedent's death, a person in a higher priority
3class under subsection (b) of this Section is reasonably
4available for the giving of consent or refusal.
5    (c) A gift of all or part of a body authorizes any blood or
6tissue test or minimally invasive examination necessary to
7assure medical acceptability of the gift for the purposes
8intended. The hospital may not withdraw any measures that are
9necessary to maintain the medical suitability of the part until
10the procurement organization has had the opportunity to advise
11the applicable persons as set forth in this Act of the option
12to make an anatomical gift or has ascertained that the
13individual expressed a contrary intent. The results of tests
14and examinations under this subsection shall be used or
15disclosed only for purposes of evaluating medical suitability
16for donation, to facilitate the donation process, and as
17required or permitted by existing law.
18    (d) The rights of the donee created by the gift are
19paramount to the rights of others except as provided by Section
205-45(d).
21    (e) If no gift has been executed under this Act, then no
22part of the decedent's body may be used for any purpose
23specified in this Act.
24(Source: P.A. 92-349, eff. 1-1-02; 93-794, eff. 7-22-04.)
 
25    (755 ILCS 50/5-7 new)

 

 

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1    Sec. 5-7. Preclusive effect of anatomical gift, amendment,
2or revocation.
3    (a) Except as otherwise provided in this Section and
4subject to subsection (f) of this Section, in the absence of an
5express, contrary indication by the donor, a person other than
6the donor is barred from making, amending, or revoking an
7anatomical gift of a donor's body or part if the donor made an
8anatomical gift of the donor's body or part under Section 5-20
9of this Act or an amendment to an anatomical gift of the
10donor's body or part under Section 5-42 of this Act.
11    (b) A donor's revocation of an anatomical gift of the
12donor's body or part under Section 5-42 of this Act is not a
13refusal and does not bar another person specified in subsection
14(a) or (b) of Section 5-5 of this Act from making an anatomical
15gift of the donor's body or part under subsection (a), (b),
16(b-5), (b-10), (e), or (e-5) of Section 5-20 of this Act.
17    (c) If a person other than the donor makes an unrevoked
18anatomical gift of the donor's body or part under subsection
19(a), (b), (b-5) or (b-10) of Section 5-20 of this Act, or an
20amendment to an anatomical gift of the donor's body or part
21under Section 5-42 of this Act, another person may not make,
22amend, or revoke the gift of the donor's body or part under
23subsection (e) or (e-5) of Section 5-20 of this Act.
24    (d) A revocation of an anatomical gift of a donor's body or
25part under Section 5-42 of this Act by a person other than the
26donor does not bar another person from making an anatomical

 

 

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1gift of the body or part under subsection (a), (b), (b-5),
2(b-10), (e), or (e-5) of Section 5-20 of this Act.
3    (e) In the absence of an express, contrary indication by
4the donor or other person authorized to make an anatomical gift
5under subsection (a) of Section 5-5 of this Act, an anatomical
6gift of a part is neither a refusal to give another part nor a
7limitation on the making of an anatomical gift of another part
8at a later time by the donor or another person.
9    (f) In the absence of an express, contrary indication by
10the donor or other person authorized to make an anatomical gift
11under subsection (a) of Section 5-5 of this Act, an anatomical
12gift of a part for one or more of the purposes set forth in
13subsection (a) of Section 5-5 of this Act is not a limitation
14on the making of an anatomical gift of the part for any of the
15other purposes by the donor or any other person under
16subsection (a), (b), (b-5), (b-10), (e), or (e-5) of Section
175-20 of this Act.
 
18    (755 ILCS 50/5-12 new)
19    Sec. 5-12. Persons who may receive an anatomical gift;
20purpose of anatomical gift.
21    (a) An anatomical gift may be made to the following persons
22named in the document of gift:
23        (1) for research or education, a hospital; an
24    accredited medical school, dental school, college, or
25    university; an organ procurement organization; or other

 

 

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1    appropriate person;
2        (2) subject to subsection (b) of this Section, an
3    individual designated by the person making the anatomical
4    gift if the individual is the recipient of the part;
5        (3) an eye bank or tissue bank; or
6        (4) for education, a non-transplant anatomic bank.
7    (b) If an anatomical gift to an individual under item (2)
8of subsection (a) of this Section cannot be transplanted into
9the individual, the part passes in accordance with subsection
10(g) of this Section unless there is an express, contrary
11indication by the person making the anatomical gift.
12    (c) If an anatomical gift of one or more specific parts or
13of all parts is made in a document of gift that does not name a
14person described in subsection (a) of this Section, but
15identifies the purpose for which an anatomical gift may be
16used, the following rules apply:
17        (1) If the part is an eye and the gift is for the
18    purpose of transplantation or therapy, the gift passes to
19    the appropriate eye bank.
20        (2) If the part is tissue and the gift is for the
21    purpose of transplantation or therapy, the gift passes to
22    the appropriate tissue bank.
23        (3) If the part is an organ and the gift is for the
24    purpose of transplantation or therapy, the gift passes to
25    the appropriate organ procurement organization as
26    custodian of the organ.

 

 

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1        (4) If the part is an organ, an eye, or tissue and the
2    gift is for the purpose of research or education, the gift
3    passes to the appropriate procurement organization.
4    (d) For the purpose of subsection (c) of this Section, if
5there is more than one purpose of an anatomical gift set forth
6in the document of gift but the purposes are not set forth in
7any priority, and if the gift cannot be used for
8transplantation or therapy, the gift may be used for research
9or education.
10    (e) If an anatomical gift of one or more specific parts is
11made in a document of gift that does not name a person
12described in subsection (a) of this Section and does not
13identify the purpose of the gift, the gift may be used only for
14transplantation or therapy or research, and the gift passes in
15accordance with subsection (g) of this Section.
16    (f) If a document of gift specifies only a general intent
17to make an anatomical gift by words such as "donor", "organ
18donor", or "body donor", or by a symbol or statement of similar
19import, the gift may be used only for transplantation or
20therapy or research, and the gift passes in accordance with
21subsection (g) of this Section.
22    (g) For purposes of subsections (b), (e), and (f) of this
23Section, the following rules apply:
24        (1) If the part is an eye, the gift passes to the
25    appropriate eye bank.
26        (2) If the part is tissue, the gift passes to the

 

 

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1    appropriate tissue bank.
2        (3) If the part is an organ, the gift passes to the
3    appropriate organ procurement organization as custodian of
4    the organ.
5    (h) An anatomical gift of an organ for transplantation or
6therapy, other than an anatomical gift under item (2) of
7subsection (a) of this Section, passes to the organ procurement
8organization as custodian of the organ.
9    (i) If an anatomical gift does not pass under this Section
10or the decedent's body or part is not used for transplantation,
11therapy, research, or education, custody of the body or part
12passes to the person under obligation to dispose of the body or
13part.
14    (j) A person may not accept an anatomical gift if the
15person knows that the gift was not effectively made under
16Section 5-5 or subsection (e) or (e-5) of Section 5-20 of this
17Act or if the person knows that the decedent made a refusal
18under Section 5-47 of this Act that was not revoked. For
19purposes of this subsection, if a person knows that an
20anatomical gift was made on a document of gift, the person is
21deemed to know of any amendment or revocation of the gift or
22any refusal to make an anatomical gift on the same document of
23gift.
24    (k) Except as otherwise provided in item (2) of subsection
25(a) of this Section, nothing in this Act affects the allocation
26of organs for transplantation or therapy.
 

 

 

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1    (755 ILCS 50/5-15)  (was 755 ILCS 50/4.5)
2    Sec. 5-15. Disability of recipient.
3    (a) No hospital, physician and surgeon, procurement
4organization bank or storage facility, or other person shall
5determine the ultimate recipient of an anatomical gift based
6upon a potential recipient's physical or mental disability,
7except to the extent that the physical or mental disability has
8been found by a physician and surgeon, following a case-by-case
9evaluation of the potential recipient, to be medically
10significant to the provision of the anatomical gift.
11    (b) Subsection (a) shall apply to each part of the organ
12transplant process.
13    (c) The court shall accord priority on its calendar and
14handle expeditiously any action brought to seek any remedy
15authorized by law for purposes of enforcing compliance with
16this Section.
17    (d) This Section shall not be deemed to require referrals
18or recommendations for or the performance of medically
19inappropriate organ transplants.
20    (e) As used in this Section "disability" has the same
21meaning as in the federal Americans with Disabilities Act of
221990 (42 U.S.C. 12101 et seq., Public Law 101-336) as may be
23amended from time to time.
24(Source: P.A. 93-794, eff. 7-22-04.)
 

 

 

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1    (755 ILCS 50/5-20)  (was 755 ILCS 50/5)
2    Sec. 5-20. Manner of Executing Anatomical Gifts.
3    (a) A donor may make an anatomical gift:
4        (1) by authorizing a statement or symbol indicating
5    that the donor has made an anatomical gift to be imprinted
6    on the donor's driver's license or identification card;
7        (2) in a will;
8        (3) during a terminal illness or injury of the donor,
9    by any form of communication addressed to at least 2
10    adults, at least one of whom is a disinterested witness; or
11        (4) as provided in subsection (b) of this Section.
12    A gift of all or part of the body under Section 5-5 (a) may
13be made by will. The gift becomes effective upon the death of
14the testator without waiting for probate. If the will is not
15probated, or if it is declared invalid for testamentary
16purposes, the gift, to the extent that it has been acted upon
17in good faith, is nevertheless valid and effective.
18    (b) A donor or other person authorized to make an
19anatomical gift under subsection (a) of Section 5-5 of this Act
20may make a gift by a donor card or other record signed by the
21donor or other person making the gift or by authorizing that a
22statement or symbol indicating that the donor has made an
23anatomical gift be included on a donor registry. If the donor
24or other person is physically unable to sign a record, the
25record may be signed by another individual at the direction of
26the donor or other person and must:

 

 

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1        (1) be witnessed by at least 2 adults, at least one of
2    whom is a disinterested witness, who have signed at the
3    request of the donor or the other person; and
4        (2) state that it has been signed and witnessed as
5    provided in paragraph (1) of this subsection (b).
6     A gift of all or part of the body under Section 5-5 (a) may
7also be made by a written, signed document other than a will.
8The gift becomes effective upon the death of the donor. The
9document, which may be a card or a valid driver's license
10designed to be carried on the person, is effective without
11regard to the presence or signature of witnesses. Such a gift
12may also be made by properly executing the form provided by the
13Secretary of State on the reverse side of the donor's driver's
14license pursuant to subsection (b) of Section 6-110 of The
15Illinois Vehicle Code. Delivery of the document of gift during
16the donor's lifetime is not necessary to make the gift valid.
17    (b-1) A gift under Section 5-5 (a) may also be made by an
18individual consenting to have his or her name included in the
19First Person Consent organ and tissue donor registry maintained
20by the Secretary of State under Section 6-117 of the Illinois
21Vehicle Code. An individual's consent to have his or her name
22included in the First Person Consent organ and tissue donor
23registry constitutes full legal authority for the donation of
24any of his or her organs or tissue for purposes of
25transplantation, therapy, or research. Consenting to be
26included in the First Person Consent organ and tissue donor

 

 

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1registry is effective without regard to the presence or
2signature of witnesses.
3    (b-5) Revocation, suspension, expiration, or cancellation
4of a driver's license or identification card upon which an
5anatomical gift is indicated does not invalidate the gift.
6    (b-10) An anatomical gift made by will takes effect upon
7the donor's death whether or not the will is probated.
8Invalidation of the will after the donor's death does not
9invalidate the gift.
10    (c) The anatomical gift may be made to a specified donee or
11without specifying a donee. If the latter, the gift may be
12accepted by the attending physician as donee upon or following
13death. If the gift is made to a specified donee who is not
14available at the time and place of death, then if made for the
15purpose of transplantation, it shall be effectuated in
16accordance with Section 5-25, and if made for any other purpose
17the attending physician upon or following death, in the absence
18of any expressed indication that the donor desired otherwise,
19may accept the gift as donee.
20    (d) The donee or other person authorized to accept the gift
21may employ or authorize any qualified technician, surgeon, or
22physician to perform the recovery. Notwithstanding Section
235-45 (b), the donor may designate in his will, card, or other
24document of gift the surgeon or physician to carry out the
25appropriate procedures. In the absence of a designation or if
26the designee is not available, the donee or other person

 

 

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1authorized to accept the gift may employ or authorize any
2surgeon or physician for the purpose.
3    (e) A person authorized to make an anatomical gift under
4subsection (b) of Section 5-5 of this Act may make an
5anatomical gift by a document of gift signed by the person
6making the gift or by that person's oral communication that is
7electronically recorded or is contemporaneously reduced to a
8record and signed by the individual receiving the oral
9communication. Any gift by a person designated in Section 5-5
10(b) shall be made by a document signed by him or made by his
11telegraphic, recorded telephonic, or other recorded message.
12    (e-5) An anatomical gift by a person authorized under
13subsection (b) of Section 5-5 of this Act may be amended or
14revoked orally or in a record by a member of a prior class who
15is reasonably available for the giving of consent or refusal.
16If more than one member of the prior class is reasonably
17available for the giving of consent or refusal, the gift made
18by a person authorized under subsection (b) of Section 5-5 of
19this Act may be:
20        (1) amended only if a majority of the class members
21    reasonably available for the giving of consent or refusal
22    agree to the amending of the gift; or
23        (2) revoked only if a majority of the class members
24    reasonably available for the giving of consent or refusal
25    agree to the revoking of the gift or if they are equally
26    divided as to whether to revoke the gift.

 

 

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1    (e-10) A revocation under subsection (e-5) is effective
2only if, before an incision has been made to remove a part from
3the donor's body or before invasive procedures have been
4commenced to prepare the recipient, the procurement
5organization, non-transplant anatomic bank, transplant
6hospital, or physician or technician knows of the revocation.
7    (f) When there is a suitable candidate for organ donation
8and a donation or consent to donate has not yet been given,
9procedures to preserve the decedent's body for possible organ
10and tissue donation may be implemented under the authorization
11of the applicable organ procurement organization agency, at its
12own expense, prior to making a donation request pursuant to
13Section 5-25. If the organ procurement organization agency does
14not locate a person authorized to consent to donation or
15consent to donation is denied, then procedures to preserve the
16decedent's body shall be ceased and no donation shall be made.
17The organ procurement organization agency shall respect the
18religious tenets of the decedent, if known, such as a pause
19after death, before initiating preservation services. Nothing
20in this Section shall be construed to authorize interference
21with the coroner in carrying out an investigation or autopsy.
22(Source: P.A. 93-794, eff. 7-22-04; 94-75, eff. 1-1-06; 94-920,
23eff. 1-1-07.)
 
24    (755 ILCS 50/5-25)
25    Sec. 5-25. Notification; consent.

 

 

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1     (a) Each hospital in this State shall enter into
2agreements or affiliations with procurement organizations for
3coordination of procurement and use of anatomical gifts. When,
4based upon generally accepted medical standards, an inpatient
5in a general acute care hospital with more than 100 beds is a
6suitable candidate for organ or tissue donation and the patient
7has not made an anatomical gift of all or any part of his or her
8body pursuant to Section 5-20 of this Act, the hospital
9    (b) Hospitals shall proceed in accordance with the
10applicable requirements of 42 CFR 482.45 or any successor
11provisions of federal statute or regulation, as may be amended
12from time to time, with regard to collaboration with
13procurement organizations to facilitate organ, tissue, and eye
14donation and the written agreement between the hospital and the
15applicable organ procurement agency executed thereunder.
16    (b) In making a request for organ or tissue donation, the
17hospital or the hospital's federally designated organ
18procurement agency or tissue bank shall request any of the
19following persons, in the order of priority stated in items (1)
20through (10) of subsection (b) of Section 5-5 of this Act (11)
21below, when persons in prior classes are not available and in
22the absence of (i) actual notice of contrary intentions by the
23decedent, (ii) actual notice of opposition by any member within
24the same priority class, and (iii) reason to believe that an
25anatomical gift is contrary to the decedent's religious
26beliefs, to consent to the gift of all or any part of the

 

 

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1decedent's body for any purpose specified in Section 5-12 5-10
2of this Act. :
3        (1) an individual acting as the decedent's agent under
4    a power of attorney for health care;
5        (2) the decedent's surrogate decision maker identified
6    by the attending physician in accordance with the Health
7    Care Surrogate Act;
8        (3) the guardian of the decedent's person at the time
9    of death;
10        (4) the decedent's spouse;
11        (5) any of the decedent's adult sons or daughters;
12        (6) either of the decedent's parents;
13        (7) any of the decedent's adult brothers or sisters;
14        (8) any adult grandchild of the decedent;
15        (9) a close friend of the decedent;
16        (10) the guardian of the decedent's estate; or
17        (11) any other person authorized or under legal
18    obligation to dispose of the body.
19    (c) (Blank). If (1) the hospital, the applicable organ
20procurement agency, or the tissue bank has actual notice of
21opposition to the gift by the decedent or any person in the
22highest priority class in which an available person can be
23found, or (2) there is reason to believe that an anatomical
24gift is contrary to the decedent's religious beliefs, or (3)
25the Director of Public Health has adopted a rule signifying his
26or her determination that the need for organs and tissues for

 

 

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1donation has been adequately met, then the gift of all or any
2part of the decedent's body shall not be requested. If a
3donation is requested, consent or refusal may be obtained only
4from the person or persons in the highest priority class
5available. If the hospital administrator, or his or her
6designated representative, the designated organ procurement
7agency, or the tissue bank is unable to obtain consent from any
8of the persons named in items (1) through (11) of subsection
9(b) of this Section, the decedent's body shall not be used for
10an anatomical gift unless a valid anatomical gift document was
11executed under this Act.
12    (d) (Blank). When there is a suitable candidate for organ
13donation, as described in subsection (a), or if consent to
14remove organs and tissues is granted, the hospital shall notify
15the applicable federally designated organ procurement agency.
16The federally designated organ procurement agency shall notify
17any tissue bank specified by the hospital of the suitable
18candidate for tissue donation. The organ procurement agency
19shall collaborate with all tissue banks in Illinois to maximize
20tissue procurement in a timely manner.
21(Source: P.A. 93-794, eff. 7-22-04.)
 
22    (755 ILCS 50/5-27)  (was 755 ILCS 60/3.5)
23    Sec. 5-27. Notification of patient; family rights and
24options after circulatory death.
25    (a) In this Section, "donation after circulatory cardiac

 

 

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1death" means the donation of organs from a ventilated patient
2whose death is declared based upon cardio-pulmonary, and not
3neurological, criteria, following the implementation of the
4decision to withdraw life support without a certification of
5brain death and with a do-not-resuscitate order, if a decision
6has been reached by the physician and the family to withdraw
7life support and if the donation does not occur until after the
8declaration of cardiac death.
9    (b) If (i) a potential organ donor, or an individual given
10authority under subsection (b) of Section 5-25 to consent to an
11organ donation, expresses an interest in organ donation, (ii)
12there has not been a certification of brain death for the
13potential donor, and (iii) the potential donor is a patient at
14a hospital that does not allow donation after circulatory
15cardiac death, then the organ procurement organization agency
16shall inform the patient or the individual given authority to
17consent to organ donation that the hospital does not allow
18donation after circulatory cardiac death.
19    (c) In addition to providing oral notification, the organ
20procurement agency shall develop a written form that indicates
21to the patient or the individual given authority to consent to
22organ donation, at a minimum, the following information:
23        (1) That the patient or the individual given authority
24    to consent to organ donation has received literature and
25    has been counseled by (representative's name) of the (organ
26    procurement agency name).

 

 

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1        (2) That all organ donation options have been explained
2    to the patient or the individual given authority to consent
3    to organ donation, including the option of donation after
4    circulatory cardiac death.
5        (3) That the patient or the individual given authority
6    to consent to organ donation is aware that the hospital
7    where the potential donor is a patient does not allow
8    donation after circulatory cardiac death.
9        (4) That the patient or the individual given authority
10    to consent to organ donation has been informed of the right
11    to request a patient transfer to a facility allowing
12    donation after circulatory cardiac death.
13        (5) That the patient or the individual given authority
14    to consent to organ donation has been informed of another
15    hospital that will allow donation after cardiac death and
16    will accept a patient transfer for the purpose of donation
17    after cardiac death; and that the cost of transferring the
18    patient to that other hospital will be covered by the organ
19    procurement organization agency, with no additional cost
20    to the patient or the individual given authority to consent
21    to organ donation.
22    The form required under this subsection must include a
23place for the signatures of the patient or the individual given
24authority to consent to organ donation and the representative
25of the organ procurement agency and space to provide the date
26that the form was signed.

 

 

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1(Source: P.A. 95-331, eff. 8-21-07.)
 
2    (755 ILCS 50/5-35)  (was 755 ILCS 50/6)
3    Sec. 5-35. Delivery of Document of Anatomical Gift Not
4Required; Right to Examine.
5    (a) A document of gift need not be delivered during the
6donor's lifetime to be effective.
7    (b) Upon or after an individual's death, a person in
8possession of a document of gift or a refusal to make an
9anatomical gift with respect to the individual shall allow
10examination and copying of the document of gift or refusal by a
11person authorized to make or object to the making of an
12anatomical gift with respect to the individual or by a person
13to which the gift could pass under Section 5-12 of this Act.
14If the gift is made by the donor to a specified donee, the
15will, card, or other document, or an executed copy thereof, may
16be delivered to the donee to expedite the appropriate
17procedures immediately after death. Delivery is not necessary
18to the validity of the gift. The will, card, or other document,
19or an executed copy thereof, may be deposited in any hospital,
20bank or storage facility, or registry office that accepts it
21for safekeeping or for facilitation of procedures after death.
22On request of any interested party upon or after the donor's
23death, the person in possession shall produce the document for
24examination.
25(Source: P.A. 93-794, eff. 7-22-04.)
 

 

 

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1    (755 ILCS 50/5-42 new)
2    Sec. 5-42. Amending or revoking anatomical gift before
3donor's death.
4    (a) Subject to Section 5-7 of this Act, a donor or other
5person authorized to make an anatomical gift under subsection
6(a) of Section 5-5 of this Act may amend or revoke an
7anatomical gift by:
8        (1) a record signed by:
9            (A) the donor;
10            (B) the other authorized person; or
11            (C) subject to subsection (b) of this Section,
12        another individual acting at the direction of the donor
13        or the other person if the donor or other person is
14        physically unable to sign; or
15        (2) a later-executed document of gift that amends or
16    revokes a previous anatomical gift or portion of an
17    anatomical gift, either expressly or by inconsistency.
18    (b) A record signed under subdivision (a)(1)(C) of this
19Section must:
20        (1) be witnessed by at least 2 adults, at least one of
21    whom is a disinterested witness, who have signed at the
22    request of the donor or the other person; and
23        (2) state that it has been signed and witnessed as
24    provided in paragraph (1) of this subsection (b).
25    (c) Subject to Section 5-7 of this Act, a donor or other

 

 

HB2339- 29 -LRB098 08840 HEP 38968 b

1person authorized to make an anatomical gift under subsection
2(a) of Section 5-5 of this Act may revoke an anatomical gift by
3the destruction or cancellation of the document of gift, or the
4portion of the document of gift used to make the gift, with the
5intent to revoke the gift.
6    (d) A donor may amend or revoke an anatomical gift that was
7not made in a will by any form of communication during a
8terminal illness or injury addressed to at least 2 adults, at
9least one of whom is a disinterested witness.
10    (e) A donor who makes an anatomical gift in a will may
11amend or revoke the gift in the manner provided for amendment
12or revocation of wills or as provided in subsection (a) of this
13Section.
 
14    (755 ILCS 50/5-43 new)
15    Sec. 5-43. Refusal to make anatomical gift; effect of
16refusal.
17    (a) An individual may refuse to make an anatomical gift of
18the individual's body or part by:
19        (1) a record signed by:
20            (A) the individual; or
21            (B) subject to subsection (b) of this Section,
22        another individual acting at the direction of the
23        individual if the individual is physically unable to
24        sign;
25        (2) the individual's will, whether or not the will is

 

 

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1    admitted to probate or invalidated after the individual's
2    death; or
3        (3) any form of communication made by the individual
4    during the individual's terminal illness or injury
5    addressed to at least 2 adults, at least one of whom is a
6    disinterested witness.
7    (b) A record signed under subdivision (a)(1)(B) of this
8Section must:
9        (1) be witnessed by at least 2 adults, at least one of
10    whom is a disinterested witness, who have signed at the
11    request of the individual; and
12        (2) state that it has been signed and witnessed as
13    provided in paragraph (1) of this subsection (b).
14    (c) An individual who has made a refusal may amend or
15revoke the refusal:
16        (1) in the manner provided in subsection (a) of this
17    Section for making a refusal;
18        (2) by subsequently making an anatomical gift under
19    subsection (a),(b), (b-5) or (b-10) of Section 5-20 of this
20    Act that is inconsistent with the refusal; or
21        (3) by destroying or canceling the record evidencing
22    the refusal, or the portion of the record used to make the
23    refusal, with the intent to revoke the refusal.
24    (d) In the absence of an express, contrary indication by
25the individual set forth in the refusal, an individual's
26unrevoked refusal to make an anatomical gift of the

 

 

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1individual's body or part bars all other persons from making an
2anatomical gift of the individual's body or part.
 
3    (755 ILCS 50/5-45)  (was 755 ILCS 50/8)
4    Sec. 5-45. Rights and Duties at Death.
5    (a) The donee may accept or reject the anatomical gift. If
6the donee accepts a gift of the entire body, he may, subject to
7the terms of the gift, authorize embalming and the use of the
8body in funeral services, unless a person named in subsection
9(b) of Section 5-5 has requested, prior to the final
10disposition by the donee, that the remains of said body be
11returned to his or her custody for the purpose of final
12disposition. Such request shall be honored by the donee if the
13terms of the gift are silent on how final disposition is to
14take place. If the gift is of a part of the body, the donee or
15technician designated by him upon the death of the donor and
16prior to embalming, shall cause the part to be removed without
17unnecessary mutilation and without undue delay in the release
18of the body for the purposes of final disposition. After
19removal of the part, custody of the remainder of the body vests
20in the surviving spouse, next of kin, or other persons under
21obligation to dispose of the body, in the order or priority
22listed in subsection (b) of Section 5-5 of this Act.
23    (b) The time of death shall be determined by a physician
24who attends the donor at his death, or, if none, the physician
25who certifies the death. The physician shall not participate in

 

 

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1the procedures for removing or transplanting a part.
2    (c) A person who acts or attempts in good faith to act in
3accordance with this Act or with the applicable anatomical gift
4law of another state is not liable for the act in a civil
5action, criminal prosecution, or administrative proceeding.
6Neither the person making an anatomical gift nor the donor's
7estate is liable for any injury or damage that results from the
8making or use of the gift. In determining whether an anatomical
9gift has been made, amended, or revoked under this Act, a
10person may rely upon representations of an individual listed in
11items (2), (3), (4), (5), (6), (7), or (8) of subsection (b) of
12Section 5-5 of this Act relating to the individual's
13relationship to the donor or prospective donor unless the
14person knows that the representation is untrue. A person who
15acts in good faith in accord with the terms of this Act, the
16Illinois Vehicle Code, and the AIDS Confidentiality Act, or the
17anatomical gift laws of another state or a foreign country, is
18not liable for damages in any civil action or subject to
19prosecution in any criminal proceeding for his act. Any person
20that participates in good faith and according to the usual and
21customary standards of medical practice in the preservation,
22removal, or transplantation of any part of a decedent's body
23pursuant to an anatomical gift made by the decedent under
24Section 5-20 of this Act or pursuant to an anatomical gift made
25by an individual as authorized by subsection (b) of Section 5-5
26of this Act shall have immunity from liability, civil,

 

 

HB2339- 33 -LRB098 08840 HEP 38968 b

1criminal, or otherwise, that might result by reason of such
2actions. For the purpose of any proceedings, civil or criminal,
3the validity of an anatomical gift executed pursuant to Section
45-20 of this Act shall be presumed and the good faith of any
5person participating in the removal or transplantation of any
6part of a decedent's body pursuant to an anatomical gift made
7by the decedent or by another individual authorized by the Act
8shall be presumed.
9    (d) This Act is subject to the provisions of "An Act to
10revise the law in relation to coroners", approved February 6,
111874, as now or hereafter amended, to the laws of this State
12prescribing powers and duties with respect to autopsies, and to
13the statutes, rules, and regulations of this State with respect
14to the transportation and disposition of deceased human bodies.
15    (e) If the donee is provided information, or determines
16through independent examination, that there is evidence that
17the anatomical gift was exposed to the human immunodeficiency
18virus (HIV) or any other identified causative agent of acquired
19immunodeficiency syndrome (AIDS), the donee may reject the gift
20and shall treat the information and examination results as a
21confidential medical record; the donee may disclose only the
22results confirming HIV exposure, and only to the physician of
23the deceased donor. The donor's physician shall determine
24whether the person who executed the gift should be notified of
25the confirmed positive test result.
26(Source: P.A. 93-794, eff. 7-22-04; 94-75, eff. 1-1-06; 94-920,

 

 

HB2339- 34 -LRB098 08840 HEP 38968 b

1eff. 1-1-07.)
 
2    (755 ILCS 50/5-47 new)
3    Sec. 5-47. Rights and duties of procurement organizations
4and others.
5    (a) When a hospital refers an individual at or near death
6to a procurement organization, the organization shall make a
7reasonable search of the records of the Secretary of State and
8any donor registry that it knows exists for the geographical
9area in which the individual resides to ascertain whether the
10individual has made an anatomical gift.
11    (b) A procurement organization shall be allowed reasonable
12access to information in the records of the Secretary of State
13to ascertain whether an individual at or near death is a donor.
14    (c) When a hospital refers an individual at or near death
15to a procurement organization, the organization may conduct any
16reasonable examination necessary to ensure the medical
17suitability of a part from a donor or a prospective donor that
18is or could be the subject of an anatomical gift for
19transplantation, therapy, research, or education. During the
20examination period, measures necessary to ensure the medical
21suitability of the part may not be withdrawn unless the
22hospital or procurement organization knows that the individual
23expressed a contrary intent.
24    (d) Unless prohibited by law other than this Act, at any
25time after a donor's death, the person to which a part passes

 

 

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1under Section 5-12 of this Act may conduct any reasonable
2examination necessary to ensure the medical suitability of the
3body or part for its intended purpose.
4    (e) Unless prohibited by law other than this Act, an
5examination under subsection (c) or (d) of this Section may
6include an examination of all medical and dental records of the
7donor or prospective donor.
8    (f) Upon the death of a minor who was a donor or had signed
9a refusal, unless a procurement organization knows the minor is
10emancipated, the procurement organization shall conduct a
11reasonable search for the parents of the minor and provide the
12parents with an opportunity to revoke or amend the anatomical
13gift or revoke the refusal.
14    (g) Upon referral by a hospital under subsection (a) of
15this Section, a procurement organization shall make a
16reasonable search for any person listed in subsection (b) of
17Section 5-5 of this Act having priority to make an anatomical
18gift on behalf of a prospective donor. If a procurement
19organization receives information that an anatomical gift to
20any other person was made, amended, or revoked, it shall
21promptly advise the other person of all relevant information.
22    (h) Subject to subsection (i) of Section 5-12 of this Act,
23the rights of the person to which a part passes under Section
245-12 of this Act are superior to the rights of all others with
25respect to the part. The person may accept or reject an
26anatomical gift in whole or in part. Subject to the terms of

 

 

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1the document of gift and this Act, a person who accepts an
2anatomical gift of an entire body may allow embalming, burial
3or cremation, and use of remains in a funeral service. If the
4gift is of a part, the person to which the part passes under
5Section 5-12 of this Act, upon the death of the donor and
6before embalming, burial, or cremation, shall cause the part to
7be removed without unnecessary mutilation.
8    (i) Neither the physician who attends the decedent at death
9nor the physician who determines the time of the decedent's
10death may participate in the procedures for removing or
11transplanting a part from the decedent.
12    (j) A physician or technician may remove a donated part
13from the body of a donor that the physician or technician is
14qualified to remove.
 
15    (755 ILCS 50/5-50)  (was 755 ILCS 50/8.1)
16    Sec. 5-50. Payment for anatomical gift.
17    (a) Except as provided in subsection (b), any person who
18knowingly pays or offers to pay any financial consideration to
19a donor or to any of the persons listed in subsection (b) of
20Section 5-5 for making or consenting to an anatomical gift
21shall be guilty of a Class A misdemeanor for the first
22conviction and a Class 4 felony for subsequent convictions.
23    (b) This Section does not prohibit reimbursement for
24reasonable costs associated with the removal, processing,
25preservation, quality control, storage, transportation,

 

 

HB2339- 37 -LRB098 08840 HEP 38968 b

1implantation, or disposal removal, storage or transportation
2of a human body or part thereof pursuant to an anatomical gift
3executed pursuant to this Act.
4(Source: P.A. 93-794, eff. 7-22-04.)
 
5    (755 ILCS 50/5-55 new)
6    Sec. 5-55. Law governing validity; choice of law as to the
7execution of document of anatomical gift; presumption of
8validity.
9    (a) A document of gift is valid if executed in accordance
10with:
11        (1) this Act;
12        (2) the laws of the state or country where it was
13    executed; or
14        (3) the laws of the state or country where the person
15    making the anatomical gift was domiciled, had a place of
16    residence, or was a national at the time the document of
17    gift was executed.
18    (b) If a document of gift is valid under this Section, the
19law of this State governs the interpretation of the document of
20gift.
21    (c) A person may presume that a document of gift or
22amendment of an anatomical gift is valid unless that person
23knows that it was not validly executed or was revoked.
 
24    (755 ILCS 50/5-10 rep.)

 

 

HB2339- 38 -LRB098 08840 HEP 38968 b

1    (755 ILCS 50/5-30 rep.)
2    (755 ILCS 50/5-40 rep.)
3    Section 10. The Illinois Anatomical Gift Act is amended by
4repealing Sections 5-10, 5-30, and 5-40.